Organization Active NPI

Robert D Graham, MD

  • Pediatric Orthopaedic Surgery Physician
  • Austin, TX
National Provider Identifier
1205047867
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
L6404 Issued in TX
Legal business name
ROBERT D GRAHAM, MD
Practice address
12176 N Mopac Expy
Suite D
Austin, TX 78758-2908
Phone
(512) 977-0000
Fax
(512) 977-0020
NPI assigned
May 25, 2007
Last updated
Jul 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert D Graham, MDNPI 1215935820
Title
Doctor
Phone
(512) 977-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X L6404 TX Primary

Addresses

Primary practice location

12176 N Mopac Expy
Suite D
Austin, TX 78758-2908

Mailing address

16020 Park Valley Dr
Round Rock, TX 78681-3573
Phone (512) 977-0000

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Associates of Central TX PA3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12201 Renfert Way
Ste 355
Austin, TX 78758
Phone (512) 977-0000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1205047867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16020 PARK VALLEY DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813573",
            "telephone_number": "512-977-0000",
            "fax_number": "512-977-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12176 N MOPAC EXPY",
            "address_2": "SUITE D",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582908",
            "telephone_number": "512-977-0000",
            "fax_number": "512-977-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D GRAHAM, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "512-977-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "L6404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.